Ocular gene therapy strategies

2021 ◽  
Author(s):  
Moataz Dowaidar

Despite the optimistic findings of recent LCA2 studies that resulted in the approval of Luxturna®, the first ocular gene therapy drug, the translation of retinal gene therapy from the laboratory bench to the bedside is still a work in progress that requires both sides to move in lockstep. Improvements from both basic and clinical research must come together to generate the next generation of breakthrough retinal trials; a thorough comprehension of degenerative molecular foundations must be combined with a full clinical description of the disease process. The growing availability and technological advances in studying animal disease models, as well as the development of innovative human disease models such as retinal organoids that can overcome some of the limitations of animal model study, are all encouraging developments in the field of eye translation. AAVs' versatility has enabled gene therapy, especially ocular gene therapy, to improve considerably over the past decade, bringing hope for treatment for a number of disorders previously believed to be incurable. More improvements in capsid and vector engineering, a better understanding of vector-host interactions, and clinical knowledge of vision loss illnesses will continue to provide clinicians and researchers with the tools they need to improve these novel treatments.

2021 ◽  
Vol 22 (14) ◽  
pp. 7549
Author(s):  
Wiktor Paskal ◽  
Adriana M. Paskal ◽  
Piotr Pietruski ◽  
Albert Stachura ◽  
Kacper Pełka ◽  
...  

The aim of the study was to evaluate if a pre-incisional N-acetylcysteine (NAC) treatment altered the process of wound healing in a rat model. The dorsal skin of 24 Sprague-Dawley rats was incised in six locations. Before the incisions were made, skin was injected either with lidocaine and epinephrine (one side) or with these agents supplemented with 0.015%, 0.03%, or 0.045% NAC (contralaterally). Photographic documentation of the wound healing process was made at 11 time points. Rats were sacrificed 3, 7, 14, or 60 days after incision to excise scars for histological analysis. They included: Abramov scale scoring, histomorphometry analysis, and collagen fiber arrangement assessment. Skin pretreated with 0.03% NAC produced the shortest scars at all analyzed time points, though this result was statistically insignificant. At this NAC concentration the scars had smaller areas on the third day and were narrower on the day 4 compared with all the other groups (p < 0.05). On day 7, at the same concentration of NAC, the scars had a higher superficial concentration index (p = 0.03) and larger dermal proliferation area (p = 0.04). NAC addition to pre-incisional anesthetic solution decreased wound size and width at an early stage of scar formation at all concentrations; however, with optimal results at 0.03% concentration.


2013 ◽  
Vol 26 (5) ◽  
pp. 264-271 ◽  
Author(s):  
Mousumi Tania ◽  
Md. Asaduzzaman Khan ◽  
Kun Xia

ObjectiveAutism, a lifelong neuro-developmental disorder is a uniquely human condition. Animal models are not the perfect tools for the full understanding of human development and behavior, but they can be an important place to start. This review focused on the recent updates of animal model research in autism.MethodsWe have reviewed the publications over the last three decades, which are related to animal model study in autism.ResultsAnimal models are important because they allow researchers to study the underlying neurobiology in a way that is not possible in humans. Improving the availability of better animal models will help the field to increase the development of medicines that can relieve disabling symptoms. Results from the therapeutic approaches are encouraging remarkably, since some behavioral alterations could be reversed even when treatment was performed on adult mice. Finding an animal model system with similar behavioral tendencies as humans is thus vital for understanding the brain mechanisms, supporting social motivation and attention, and the manner in which these mechanisms break down in autism. The ongoing studies should therefore increase the understanding of the biological alterations associated with autism as well as the development of knowledge-based treatments therapy for those struggling with autism.ConclusionIn this review, we have presented recent advances in research based on animal models of autism, raising hope for understanding the disease biology for potential therapeutic intervention to improve the quality of life of autism individuals.


2018 ◽  
Vol 2 (4) ◽  
pp. 219-226
Author(s):  
Susan Sun ◽  
Sandra R. Montezuma

Inherited retinopathies are a group of genetic disorders that lead to blindness and/or vision impairment. Until now, treatment options for inherited retinopathies largely remained limited to supportive therapy. Gene therapy is an attractive therapeutic technique that allows repair of diseased genes, and it has shown success in vision improvement for patients affected by retinal disorders caused by genetic mutations. The US Food and Drug Administration approved the first gene therapy treatment for the eye, indicated for biallelic RPE65 mutation associated Leber congenital amaurosis (LCA), in December of 2017. Additionally, results from other ongoing clinical trials could further establish gene therapy as the milestone treatment that plays a role in disease process reversal for inherited retinopathies. This review article provides an update on the status of gene therapy for treatment of a variety of retinopathies, including LCA, choroideremia, achromatopsia, Stargardt disease, X-linked retinitis pigmentosa, and X-linked retinoschisis. Furthermore, this article explores transport methods of the genetic material, as well as therapy-delivery approaches used in the clinical setting.


2021 ◽  
Author(s):  
Emilia A. Zin ◽  
Daisy Han ◽  
Jennifer Tran ◽  
Nikolas Morisson-Welch ◽  
Meike Visel ◽  
...  

AbstractNeuronal ceroid lipofuscinosis (NCL) is a family of neurodegenerative diseases caused by mutations to genes related to lysosomal function. One variant, CNL11, is caused by mutations to the gene encoding the protein progranulin. Primarily secreted by microglia, progranulin regulates neuronal lysosomal function once endocytosed. Absence of progranulin causes cerebellar atrophy, seizures, ataxia, dementia and vision loss. As progranulin gene therapies targeting the brain are developed, it is also advantageous to focus on the retina, as its characteristics are beneficial for gene therapy development: the retina is easily visible through direct imaging, can be assessed through quantitative methods in vivo, requires smaller amounts of AAV and AAV can be administered via a less invasive surgery. In this study we characterize the retinal degeneration in a progranulin knockout mouse model of CLN11 and study the effects of gene replacement at different time points. All mice heterologously expressing progranulin showed reduction in lipofuscin deposits and microglia infiltration. While mice that receive systemic AAV9.2YF-scCAG-PGRN at post-natal day 3 or 4 show a reduction in retina thinning, mice injected intravitreally at months 1 and 6 with 7m8-scCAG-PGRN show no improvement, and mice injected at 12 months of age show increased retinal thinning in comparison to their controls. Thus, delivery of progranulin proves to be time-sensitive, requiring early administration for optimal therapeutic benefit.


2021 ◽  
Vol 55 (5) ◽  
pp. 480-490
Author(s):  
S. M. Mohamed ◽  
D. S. Mohammed ◽  
N. G. Abd Elhaliem ◽  
M. I. Elbadry ◽  
E. E. Abu-Dief

2021 ◽  
Vol 32 (19-20) ◽  
pp. 1120-1137
Author(s):  
Evangelia Yannaki ◽  
Nikoletta Psatha ◽  
Anastasia Papadopoulou ◽  
Takis Athanasopoulos ◽  
Achilleas Gravanis ◽  
...  

2019 ◽  
Vol 311 (3) ◽  
pp. 193-201 ◽  
Author(s):  
Ana Cristina Christovam ◽  
Viviane Theodoro ◽  
Fernanda Aparecida Sampaio Mendonça ◽  
Marcelo Augusto Marretto Esquisatto ◽  
Gláucia Maria Tech dos Santos ◽  
...  

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